IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division RECEIPT OF WARD AND CONSENT TO DISCHARGE The undersigned, above-styled guardianship was established, now being sui juris because , the Ward for whom the , hereby acknowledges having received from of the undersigned, the following: , as guardian of the The undersigned further acknowledges receipt of complete distribution of all assets to which the undersigned is entitled, releases the guardian from all further liability in connection with the above-styled guardianship, and consents to the entry of an order discharging the guardian and the surety on the guardian's bond, if any, without notice, hearing or waiting period, and without further accounting. Signed on this day of , . Ward [Print or Type Names Under All Signature Lines] Bar Form No. G-6.034 © Florida Lawyers Support Services, Inc. January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com